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The Use of Dental Air Polisher

The innovative air flow polishing technique uses a machine that cleans and polishes the teeth with a mix of water, compressed air and fine powder particles. This method is far superior to traditional cleaning methods that use scraping tools, rubber cups and polishing discs and which can be time-consuming and uncomfortable.

Just take an example, the application of air polishing to implantology can be divided into two areas: (1) Routine maintenance of implants (2) Surface preparation in treating periimplantitis.

Dental root form implants are manufactured from a highgrade titanium alloy, the surface of which consists of  a micro layer of titanium oxide. The implant surface can also be treated by plasma spraying, acid etching, sandblasting or coated with HA. The removal of  plaque  and  calculus  deposits  from  these implant surfaces with Dental Instruments designed originally for cleaning natural tooth surfaces can result in major alterations to the delicate titanium oxide layer. Altering the surface topography by roughening the surface may enhance  calculus  and  bacterial  plaque accumulation.

Current methods for professional cleaning of implant or titanium transmucosal elements include the set of plastic ultrasonic scaler  tips or hand instruments followed by the prophy cup polishing method or various types of floss and buffing strips. The design of the permanently cemented super structure often does not allow adequate access for the prophy cup, especially in interproximal areas, and plastic instruments are not very efficient for the removal of plaque or mineralized deposits. In addition, the prophy cup and paste method may leave residual paste at the implant/soft tissue interface area.

Dental air polisher consists of directing, water, air and sodium bicarbonate towards the tooth or implant surface, resulting in efficient removal of bacterial plaque and soft mineralized deposits. The residual powder is biocompatible and being soluble is not retained at the implant/soft tissue interface

Two airpolishing systems are currently available. One system, typically available on the EMS Airflow, and the Satelec units, delivers the air and powder, typically at 60-80 psi pressure through one nozzel and the water through a separate concentric nozzel. Some mixing of the streams takes place at the interface of the streams, but the centre of the stream consists essentially of dry powder. This “Biphasic” stream is directed at the tooth or implant surface. Several studies have investigated this system, and its effects on implant surfaces, and conclude that this system can result in significant changes to the implant surface.

Studies have shown that dental air polisher is over three times faster at removing stains and plaque than traditional methods. This means less time in the chair for the patient and therefore fewer interruptions. Teeth are cleaned in a much less abrasive manner than scraping and polishing which also causes less damage to the teeth. Any small areas of decay are gently blasted away without the need to drill into the healthy structure of the tooth.
 


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